Provider Demographics
NPI:1437443900
Name:PIEPER, HANNA R (RDH)
Entity Type:Individual
Prefix:MRS
First Name:HANNA
Middle Name:R
Last Name:PIEPER
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 N DEWEY ST
Mailing Address - Street 2:
Mailing Address - City:NORTH PLATTE
Mailing Address - State:NE
Mailing Address - Zip Code:69101-5439
Mailing Address - Country:US
Mailing Address - Phone:308-696-1201
Mailing Address - Fax:308-696-1204
Practice Address - Street 1:111 N DEWEY ST
Practice Address - Street 2:
Practice Address - City:NORTH PLATTE
Practice Address - State:NE
Practice Address - Zip Code:69101-5439
Practice Address - Country:US
Practice Address - Phone:308-696-1201
Practice Address - Fax:308-696-1204
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-02
Last Update Date:2011-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1895124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist